Non Specific Uretrhritis (NSU)

This is a very common problem in men. It is diagnosed when men have symptoms of urethritis, despite testing negative for gonorrhoea or chlamydia. It can also be diagnosed in the absence of symptoms when we find white blood cells in the urine.

It is important to clarify that there are also non infectious reasons for developing urethritis symptoms, which can range from irritation caused by foreign bodies in the urethra, to reactions to soap or even lube.
The same organisms that cause urethritis in men can potentially cause symptoms in females such as pelvic inflammatory disease (PID) and therefore partners need to be treated.

Symptoms

Dysuria ( painful urination)

Clear urethral discharge

Diagnosis

Urine test

Treatment

Antibiotic

If you present with symptoms of an NSU guidelines recommend immediate testing and treatment without waiting for results

Contact testing and treatment

During treatment and for at least a week after, it is best to abstain from sexual activity completely.

Recurrent NSU

In men with recurrent symptoms of NSU, or in cases where the symptoms do not subside after treatment, it is recommended to have further screening for the less common causes of NSU such as M. Genitalium, Trichomonas Vaginalis, and Ureaplasma Urealyticum.
These extra tests can be done at the same time as the initial screen or later, at an additional cost.

I have over 14 years experience providing sexual health screening and I offer a completely confidential, professional, non judgemental service from start to end. If you are not sure if you have been at risk, then I offer a normal consultation to discuss the possible risks and whether screening would be appropriate. We discuss and agree all costs beforehand so you know exactly where you stand and I will always provide you with clear and accurate advice based on current British Association for Sexual Health and HIV (BASHH )guidelines.

Dr Wayne Cottrell is your Private GP and Sexual Health Doctor in Canary Wharf. Let us help you today!

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